Surgical Management of Adult Traumatic Atlantoaxial Rotatory Fixation with Hangman Fracture: Case Report and Literature Review | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 12، دوره 11، شماره 4، تیر 2023، صفحه 301-305 اصل مقاله (699.72 K) | ||
| نوع مقاله: CASE REPORT | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2022.68949.3254 | ||
| نویسندگان | ||
| Keyvan Eghbal1؛ Saber Zafarshamspour* 2؛ Mohammadreza Tamjidi1؛ Abbas Khosravifarsani1؛ Mavlonov Jaloliddin Begijonovich1؛ Saeed Tayebi Khorami1 | ||
| 1Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 2Department of Surgery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran | ||
| چکیده | ||
| Atlantoaxial rotatory fixation (AARF) is a rare type of adult cervical spine injury. The classic symptoms are painful torticollis and limited neck range of motion. To avoid catastrophic consequences, early diagnosis is necessary. The present study presents the successful treatment of a scarce case of adult AARF with a Hangman fracture and a comprehensive literature review. A 25 -year-old man presented to the trauma bay with left-sided torticollis after a motor vehicle accident. Cervical computed tomography scans revealed type I AARF. Torticollis resolved after cervical traction with partial reduction, and posterior C1-C2 fusion was performed as part of the therapy. Recognition of AARF after trauma requires a high index of suspicion, and early diagnosis is critical for the achievement of the best possible patient outcomes. Since the combination of a Hangman fracture and C1-C2 rotatory fixation is complex and unique, it must be tailored to the associated injuries. Level of evidence: IV | ||
| کلیدواژهها | ||
| Adult؛ Atlantoaxial rotatory fixation (AARF)؛ Axis fracture؛ Hangman fracture؛ Torticollis | ||
| مراجع | ||
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